Zhou Yi, Gao Xiaopei, Xu Jiangyuan, Ding Xiaojuan, Yuan Jing, Du Shaoying, Shi Xiaoyang, Wang Yan
School of Nursing, Hebei University, No.342 Yuhuadong Road, Lianchi District, Baoding, Hebei 071000, China.
School of Nursing, Hebei University, No.342 Yuhuadong Road, Lianchi District, Baoding, Hebei 071000, China.
Heart Lung. 2024 Mar-Apr;64:182-188. doi: 10.1016/j.hrtlng.2023.12.006. Epub 2024 Jan 28.
Perception of exercise benefits/barriers and kinesiophobia are important predictors of low exercise behaviors in patients with cardiovascular diseases (CVDs). Little is known about the complex intercorrelations between different components of perception of exercise benefits/barriers and kinesiophobia.
To identify the central components of kinesiophobia and to explore the interconnectedness between perception of exercise benefits/barriers and kinesiophobia.
A total of 258 patients with CVDs were recruited in this study. The Tampa Scale for Kinesiophobia Heart and the Exercise Benefits/Barriers Scale were used to assess kinesiophobia and perception of exercise benefits/barriers. R software was used to visualize the networks and analyze the centrality of the networks. The index "expected influence" and "bridge expected influence" were employed to identify the central components and the bridge components of the networks.
In the item network of kinesiophobia, three items ("It is really not safe for a person in my condition to be physically active/exercise", "I cannot do the same things as others because there is a too big risk that I will get heart problems", and "If I tried to be physically active/exercise my heart problem would increase") had the highest expected influence. In the exercise benefits/barriers-kinesiophobia network, the dimension of physical exertion had the highest positive bridge expected influence, while psychological outlook had highest negative value.
The three central components of kinesiophobia and the two bridge components (perception exercise barriers of physical exertion and perception exercise benefits of psychological outlook) should be targeted in specific intervention for relieving kinesiophobia and further promoting exercise behaviors.
对运动益处/障碍的认知以及运动恐惧是心血管疾病（CVD）患者低运动行为的重要预测因素。对于运动益处/障碍认知的不同组成部分与运动恐惧之间复杂的相互关系，我们知之甚少。
确定运动恐惧的核心组成部分，并探讨运动益处/障碍认知与运动恐惧之间的相互联系。
本研究共招募了258名CVD患者。使用坦帕运动恐惧量表（心脏版）和运动益处/障碍量表来评估运动恐惧和运动益处/障碍认知。使用R软件对网络进行可视化并分析网络的中心性。采用“预期影响”和“桥梁预期影响”指标来确定网络的核心组成部分和桥梁组成部分。
在运动恐惧的项目网络中，三个项目（“处于我这种状况的人进行体育活动/锻炼真的不安全”、“我不能和其他人做同样的事情，因为我患心脏病的风险太大”以及“如果我尝试进行体育活动/锻炼，我的心脏问题会加重”）具有最高的预期影响。在运动益处/障碍 - 运动恐惧网络中，体力消耗维度具有最高的正向桥梁预期影响，而心理状态具有最高的负向值。
运动恐惧的三个核心组成部分以及两个桥梁组成部分（体力消耗的运动障碍认知和心理状态的运动益处认知）应作为缓解运动恐惧并进一步促进运动行为的特定干预目标。
